# LAWRENCE P. RYAN, DDS, MD, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1427297654
- **Authorized official:** DR. LAWRENCE P RYAN DDS, MD (OWNER)
- **Authorized official phone:** (860) 295-8780

## Contact information

- **Practice address:** 11 S MAIN ST, SUITE 1, MARLBOROUGH, CT 06447-1553
- **Practice address phone:** (860) 295-8780
- **Practice address fax:** (860) 295-0875
- **Mailing address:** 11 S MAIN ST, SUITE 1, MARLBOROUGH, CT 06447-1553
- **Mailing address phone:** (860) 295-8780
- **Mailing address fax:** (860) 295-0875

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 007529 | CT | Yes |

## Other

- **Enumeration date:** 02/11/2009
- **Last updated:** 02/11/2009